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Journal of Attention Disorders
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Sleep Problems in Chinese School-Aged Children with a Parent-Reported History of ADHD

Shenghui Li

Shanghai Xin Hua Hospital School of Public Health affiliated with Shanghai Jiaotong University School of Medicine

Xinming Jin

Shanghai Children's Medical Center Shanghai Key Laboratory of Children's Environmental Health

Chonghuai Yan

Shanghai Xin Hua Hospital Shanghai Key Laboratory of Children's Environmental Health

Shenghu Wu

Shanghai Xin Hua Hospital Shanghai Key Laboratory of Children's Environmental Health

Fan Jiang

Shanghai Children's Medical Center Shanghai Key Laboratory of Children's Environmental Health

Xiaoming Shen

Shanghai Xin Hua Hospital Shanghai Key Laboratory of Children's Environmental Health, Shenxm9907{at}126.com

Objective: The objective was to survey the prevalence of parent-reported ADHD diagnosis and to assess its associations with sleep problems among urban school-aged children in China. Method: A random sample of 20,152 school-aged children participated in a cross-sectional survey in eight cities of China. A parent-administered questionnaire and the Children's Sleep Habits Questionnaire were completed to quantify history of ADHD diagnosis and sleep problems, respectively. Results: Slightly more than 4% of Chinese school-aged children were reported to have a history of ADHD diagnosis. The multivariate regression models revealed that, after controlling for some confounders—such as gender, parents' educational level, family income, family structure, and stimulant medication—there was a higher prevalence of sleep problems, especially parasomnias, sleep-disordered breathing, and daytime sleepiness, in children with a history of ADHD diagnosis. Conclusion: The results emphasized the importance of incorporating screens of sleep problems into the evaluation of ADHD.

Key Words: children • attention-deficit/hyperactivity disorder • sleep problems

This version was published on July 1, 2009

Journal of Attention Disorders, Vol. 13, No. 1, 18-26 (2009)
DOI: 10.1177/1087054708322992
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